MEDICARE: NEW ERA PHARMACEUTICALS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PH25207	FL

General Provider Information

NPI Number	:	1366747131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ERA PHARMACEUTICALS LLC

Provider Business Mailing Address
First Line	:	16 NW 26TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-5106
Country	:	US
Telephone Number	:	305-642-5600
Fax Number	:	305-642-5699

Provider Business Practice Location Address
First Line	:	16 NW 26TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-5106
Country	:	US
Telephone Number	:	305-642-5600
Fax Number	:	305-642-5699

Authorized Official
Title or Position	:	OWNER
Name	:	AURIA GONZALEZ
Credential	:
Telephone Number	:	954-592-0881

Provider Enumeration Date	:	01/25/2011
Last Update Date	:	01/25/2011

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